Sistema Nacional de Receta Electronica - Local Development build (v0.9.5). See the Directory of published versions

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Resource Profile: CL Dispensación

Este Perfil ha sido desarrollado para cubrir las necesidades del Caso de Uso del Sistema Nacional de Receta Electrónica desde la visión de la TFC que se utilizará para poder manejar fármacos que cuentan con autorización de comercialización en el país, los cuales deberán ser consultados por los prestadores a la hora de prescribir alguno o mantener una base local actualizada.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
identifier	S	0..1	Identifier	Se usará en caso que se realice una dispensación con Id Local
system	S	0..1	uri	Namespace de id de local
value	S	0..1	string	Número identificador
assigner	S	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier	S	0..1	Identifier	El identificador de la Farmacia que ha dado el código identificador a la receta
display		0..1	string	Nombre de la organización a la cual se hace la referencia
status	S	1..1	code	Estado de la dispensación según estándar: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Slices for statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Slice: Unordered, Open by type:$this
statusReason[x]:statusReasonCodeableConcept	S	0..1	CodeableConcept	Razón por la cual se ha modificado el estado de la dispensación
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Glosa del código
code	S	0..1	code	Código referente a la razón de porque se modificó la dispensación Binding: Razón del cambio de estado (Dispensación) (extensible)
display	S	0..1	string	Glosa del código
text	S	0..1	string	Razón de la modificación
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationReference	S	0..1	Reference(Medication)	Medicamento comercial dispensado. Como repositorio nacional: "https://api-receta.minsal.cl/v2/Medication" (Obligatorio)
reference	S	0..1	string	URL de la referencia al medicamento dispensado
display	S	0..1	string	Nombre del medicamento dispensado según TFC
subject	S	1..1	Reference(Patient)	Referencia al Paciente "https://api-receta.minsal.cl/v2/Patient"
reference	S	0..1	string	URL de la referencia del recurso del paciente
display	S	0..1	string	Nombre del Paciente
Slices for performer	S	1..2	BackboneElement	Profesional, técnico o auxiliar que ejecutó alguna acción sobre la dispensación. Slice: Unordered, Closed by value:function.coding.code
performer:Dispensador	S	1..1	BackboneElement	Aquel individuo que realiza la entrega de medicamentos
function	S	1..1	CodeableConcept	Función que desarrolla el Performer, en este caso dispensador
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	1..1	code	Código del tipo de dispensador. El valor obligado es "Dispensador" Required Pattern: Dispensador
actor	S	1..1	Reference(Practitioner)	Identificación del individuo que realiza la dispensación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	S	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	S	0..1	string	Nombre del individuo que ejecuta la dispensación de la receta
performer:Validador	S	0..1	BackboneElement	Aquel profesional que realiza la validación previa a la entrega de medicamentos
function	S	1..1	CodeableConcept	Función que desarrolla el Validador, en este caso siempre será un Químico Farmacéutico
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	1..1	code	Código de validador. Debe ser **Validador**. Para definir un Validador Required Pattern: Validador
actor	S	1..1	Reference(Practitioner)	Profesional que realiza la validación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	S	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	S	0..1	string	Nombre de quien valida la receta antes de la entrega.
location	S	1..1	Reference(Location)	Ubicación Georreferenciada de la dispensación
reference	S	0..1	string	Identificación del recurso de localización de los dispensadores. "https://api-receta.minsal.cl/v2/Location" (Obligatoria)
display	S	0..1	string	Descripción de la ubicación o localización donde se realiza la dispensación
authorizingPrescription	S	1..1	Reference(MedicationRequest)	Referencia a la prescripción que autoriza la dispensación.
reference	S	0..1	string	Referencia a la prescripción que autoriza la dispensación. "https://api-receta.minsal.cl/v2/MedicationRequest" (Obligada)
display	S	0..1	string	Id de la referencia a la prescripción
quantity	S	1..1	SimpleQuantity	Dosis recetada del medicamento
whenHandedOver	S	1..1	dateTime	Fecha y hora cuando el medicamento fue dispensado. Se debe especificar en formato de fecha según HL7. YYYY-MM-DDThh:mm:ss+zz:zz, ej. 2018, 1973-06, 1905-08-23, 2015-02-07T13:28:17-05:00 or 2017-01-01T00:00:00.000Z.
receiver	S	0..1	Reference(Patient)	Persona a la cual se le hace entrega de los fármacos.
reference	S	0..1	string	Se debe agregar la URL del recurso Paciente
display	S	0..1	string	Se debe escribir el nombre y apellido de quien recibe el medicamento
note	S	0..*	Annotation	Información sobre la receta
dosageInstruction	S	0..*	Dosage	Cómo se debe administrar el medicamento. Este lo completa automáticamente el SNRE al momento de generarse el MedicationRequest
sequence	S	1..1	integer	Secuencia de administración del medicamento
text	S	0..1	string	Instrucción de dosificación
patientInstruction	S	0..1	string	Instrucciones para el paciente
timing	S	0..1	Timing	When medication should be administered
repeat	S	0..1	Element	Administración del medicamento en temporalidad
frequency	S	0..1	positiveInt	Cantidad de repeticiones
period	S	0..1	decimal	Período en el cual se realizan las repeticiones
periodMax	S	0..1	decimal	Periodo máximo en el cual se realizan las repeticiones
periodUnit	S	0..1	code	s | min | h | d | wk | mo | a - unidad de tiempo (UCUM) Binding: UnitsOfTime (required)
Slices for asNeeded[x]		0..1	boolean, CodeableConcept	Take "as needed" (for x) Slice: Unordered, Open by type:$this
asNeeded[x]:asNeededBoolean	S	0..1	boolean	Se define para uso de fármaco sin receta o indicación en esta.
route	S	0..1	CodeableConcept	Como se debe administrar el medicamento (Vía de administración o como debe el farmaco entrar al cuerpo)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Namespace de SNOMED-CT
code	S	0..1	code	Código de la vía por medio de subset de SNOMED-CT Binding: Vías de Administración (extensible)
display	S	0..1	string	Descripción del código
method	S	0..1	CodeableConcept	Forma exacta en la que el fármaco ingresa al organismo
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Namespace de los códigos desde SNOMED-CT.
code	S	0..1	code	Códigos del Set de Valores definidos desde SNOMED-CT Binding: Métodos de Administración (extensible)
display	S	0..1	string	Representation defined by the system
doseAndRate	S	0..*	Element	Definición de la cantidad de fármaco a consumir por uso indicado
Slices for dose[x]	S	0..1		Definición de Cantidad Simple o Rango Slice: Unordered, Open by type:$this
doseRange			Range S(RangeCL)
doseQuantity			Quantity S(SimpleQuantityCL)
dose[x]:doseQuantity	S	0..1	SimpleQuantity	A fixed quantity (no comparator)
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
dose[x]:doseRange	S	0..1	Range	Amount of medication per dose
low	S	0..1	SimpleQuantity	Low limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity	High limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
detectedIssue	S	0..*	Reference(DetectedIssue)	Evento adverso detectado como contraindicación al fármaco dispensado
reference	S	0..1	string	Referencia al evento adverso detectado.
display	S	0..1	string	Texto libre que describe el potencial evento adverso o contraindicación
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code	extensible	VSRazonEstadoDispensacion (a valid code from Razón del cambio de estado (Dispensación))
MedicationDispense.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.route.coding.code	extensible	VSViasAdmin (a valid code from Vías de Administración)
MedicationDispense.dosageInstruction.method.coding.code	extensible	VSMetodos (a valid code from Métodos de Administración)

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..1	Identifier	Se usará en caso que se realice una dispensación con Id Local
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	Namespace de id de local Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Número identificador Example General: 123456
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier	SΣ	0..1	Identifier	El identificador de la Farmacia que ha dado el código identificador a la receta
display	Σ	0..1	string	Nombre de la organización a la cual se hace la referencia
status	?!SΣ	1..1	code	Estado de la dispensación según estándar: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x]		0..1		Why a dispense was not performed Slice: Unordered, Open by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
statusReason[x]:statusReasonCodeableConcept	S	0..1	CodeableConcept	Razón por la cual se ha modificado el estado de la dispensación Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Glosa del código
code	SΣ	0..1	code	Código referente a la razón de porque se modificó la dispensación Binding: Razón del cambio de estado (Dispensación) (extensible)
display	SΣ	0..1	string	Glosa del código
text	SΣ	0..1	string	Razón de la modificación
Slices for medication[x]	Σ	1..1		What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Medicamento comercial dispensado. Como repositorio nacional: "https://api-receta.minsal.cl/v2/Medication" (Obligatorio)
reference	SΣC	0..1	string	URL de la referencia al medicamento dispensado
display	SΣ	0..1	string	Nombre del medicamento dispensado según TFC
subject	SΣ	1..1	Reference(Patient)	Referencia al Paciente "https://api-receta.minsal.cl/v2/Patient"
reference	SΣC	0..1	string	URL de la referencia del recurso del paciente
display	SΣ	0..1	string	Nombre del Paciente
Slices for performer	S	1..2	BackboneElement	Profesional, técnico o auxiliar que ejecutó alguna acción sobre la dispensación. Slice: Unordered, Closed by value:function.coding.code
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
performer:Dispensador	S	1..1	BackboneElement	Aquel individuo que realiza la entrega de medicamentos
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Performer, en este caso dispensador Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Código del tipo de dispensador. El valor obligado es "Dispensador" Required Pattern: Dispensador
actor	S	1..1	Reference(Practitioner)	Identificación del individuo que realiza la dispensación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	SΣ	0..1	string	Nombre del individuo que ejecuta la dispensación de la receta
performer:Validador	S	0..1	BackboneElement	Aquel profesional que realiza la validación previa a la entrega de medicamentos
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Validador, en este caso siempre será un Químico Farmacéutico Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Código de validador. Debe ser **Validador**. Para definir un Validador Required Pattern: Validador
actor	S	1..1	Reference(Practitioner)	Profesional que realiza la validación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	SΣ	0..1	string	Nombre de quien valida la receta antes de la entrega.
location	S	1..1	Reference(Location)	Ubicación Georreferenciada de la dispensación
reference	SΣC	0..1	string	Identificación del recurso de localización de los dispensadores. "https://api-receta.minsal.cl/v2/Location" (Obligatoria)
display	SΣ	0..1	string	Descripción de la ubicación o localización donde se realiza la dispensación
authorizingPrescription	S	1..1	Reference(MedicationRequest)	Referencia a la prescripción que autoriza la dispensación.
reference	SΣC	0..1	string	Referencia a la prescripción que autoriza la dispensación. "https://api-receta.minsal.cl/v2/MedicationRequest" (Obligada)
display	SΣ	0..1	string	Id de la referencia a la prescripción
quantity	S	1..1	SimpleQuantity	Dosis recetada del medicamento
whenHandedOver	S	1..1	dateTime	Fecha y hora cuando el medicamento fue dispensado. Se debe especificar en formato de fecha según HL7. YYYY-MM-DDThh:mm:ss+zz:zz, ej. 2018, 1973-06, 1905-08-23, 2015-02-07T13:28:17-05:00 or 2017-01-01T00:00:00.000Z.
receiver	S	0..1	Reference(Patient)	Persona a la cual se le hace entrega de los fármacos.
reference	SΣC	0..1	string	Se debe agregar la URL del recurso Paciente
display	SΣ	0..1	string	Se debe escribir el nombre y apellido de quien recibe el medicamento
note	S	0..*	Annotation	Información sobre la receta
dosageInstruction	S	0..*	Dosage	Cómo se debe administrar el medicamento. Este lo completa automáticamente el SNRE al momento de generarse el MedicationRequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	1..1	integer	Secuencia de administración del medicamento
text	SΣ	0..1	string	Instrucción de dosificación
patientInstruction	SΣ	0..1	string	Instrucciones para el paciente
timing	SΣ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	SΣC	0..1	Element	Administración del medicamento en temporalidad
frequency	SΣ	0..1	positiveInt	Cantidad de repeticiones
period	SΣ	0..1	decimal	Período en el cual se realizan las repeticiones
periodMax	SΣ	0..1	decimal	Periodo máximo en el cual se realizan las repeticiones
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unidad de tiempo (UCUM) Binding: UnitsOfTime (required)
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Se define para uso de fármaco sin receta o indicación en esta.
route	SΣ	0..1	CodeableConcept	Como se debe administrar el medicamento (Vía de administración o como debe el farmaco entrar al cuerpo) Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Namespace de SNOMED-CT
code	SΣ	0..1	code	Código de la vía por medio de subset de SNOMED-CT Binding: Vías de Administración (extensible)
display	SΣ	0..1	string	Descripción del código
method	SΣ	0..1	CodeableConcept	Forma exacta en la que el fármaco ingresa al organismo Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Namespace de los códigos desde SNOMED-CT.
code	SΣ	0..1	code	Códigos del Set de Valores definidos desde SNOMED-CT Binding: Métodos de Administración (extensible)
display	SΣ	0..1	string	Representation defined by the system
doseAndRate	SΣ	0..*	Element	Definición de la cantidad de fármaco a consumir por uso indicado
Slices for dose[x]	SΣ	0..1		Definición de Cantidad Simple o Rango Slice: Unordered, Closed by type:$this
doseRange			Range(RangeCL)
doseQuantity			Quantity(SimpleQuantityCL)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	A fixed quantity (no comparator)
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
dose[x]:doseRange	SΣ	0..1	Range	Amount of medication per dose
low	SΣ	0..1	SimpleQuantity	Low limit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity	High limit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
detectedIssue	S	0..*	Reference(DetectedIssue)	Evento adverso detectado como contraindicación al fármaco dispensado
reference	SΣC	0..1	string	Referencia al evento adverso detectado.
display	SΣ	0..1	string	Texto libre que describe el potencial evento adverso o contraindicación
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.identifier.use	required	IdentifierUse
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code	extensible	VSRazonEstadoDispensacion (a valid code from Razón del cambio de estado (Dispensación))
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.performer:Dispensador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Validador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.route.coding.code	extensible	VSViasAdmin (a valid code from Vías de Administración)
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.method.coding.code	extensible	VSMetodos (a valid code from Métodos de Administración)

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..1	Identifier	Se usará en caso que se realice una dispensación con Id Local
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	Namespace de id de local Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Número identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	El identificador de la Farmacia que ha dado el código identificador a la receta
display	Σ	0..1	string	Nombre de la organización a la cual se hace la referencia
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣ	1..1	code	Estado de la dispensación según estándar: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x]		0..1		Why a dispense was not performed Slice: Unordered, Open by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
statusReason[x]:statusReasonCodeableConcept	S	0..1	CodeableConcept	Razón por la cual se ha modificado el estado de la dispensación Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Glosa del código
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Código referente a la razón de porque se modificó la dispensación Binding: Razón del cambio de estado (Dispensación) (extensible)
display	SΣ	0..1	string	Glosa del código
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Razón de la modificación
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1		What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Medicamento comercial dispensado. Como repositorio nacional: "https://api-receta.minsal.cl/v2/Medication" (Obligatorio)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	URL de la referencia al medicamento dispensado
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del medicamento dispensado según TFC
subject	SΣ	1..1	Reference(Patient)	Referencia al Paciente "https://api-receta.minsal.cl/v2/Patient"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	URL de la referencia del recurso del paciente
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del Paciente
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
Slices for performer	S	1..2	BackboneElement	Profesional, técnico o auxiliar que ejecutó alguna acción sobre la dispensación. Slice: Unordered, Closed by value:function.coding.code
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
performer:Dispensador	S	1..1	BackboneElement	Aquel individuo que realiza la entrega de medicamentos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Performer, en este caso dispensador Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del tipo de dispensador. El valor obligado es "Dispensador" Required Pattern: Dispensador
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	S	1..1	Reference(Practitioner)	Identificación del individuo que realiza la dispensación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del individuo que ejecuta la dispensación de la receta
performer:Validador	S	0..1	BackboneElement	Aquel profesional que realiza la validación previa a la entrega de medicamentos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Validador, en este caso siempre será un Químico Farmacéutico Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código de validador. Debe ser **Validador**. Para definir un Validador Required Pattern: Validador
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	S	1..1	Reference(Practitioner)	Profesional que realiza la validación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre de quien valida la receta antes de la entrega.
location	S	1..1	Reference(Location)	Ubicación Georreferenciada de la dispensación
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Identificación del recurso de localización de los dispensadores. "https://api-receta.minsal.cl/v2/Location" (Obligatoria)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Descripción de la ubicación o localización donde se realiza la dispensación
authorizingPrescription	S	1..1	Reference(MedicationRequest)	Referencia a la prescripción que autoriza la dispensación.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia a la prescripción que autoriza la dispensación. "https://api-receta.minsal.cl/v2/MedicationRequest" (Obligada)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Id de la referencia a la prescripción
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	S	1..1	SimpleQuantity	Dosis recetada del medicamento
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	1..1	dateTime	Fecha y hora cuando el medicamento fue dispensado. Se debe especificar en formato de fecha según HL7. YYYY-MM-DDThh:mm:ss+zz:zz, ej. 2018, 1973-06, 1905-08-23, 2015-02-07T13:28:17-05:00 or 2017-01-01T00:00:00.000Z.
destination		0..1	Reference(Location)	Where the medication was sent
receiver	S	0..1	Reference(Patient)	Persona a la cual se le hace entrega de los fármacos.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Se debe agregar la URL del recurso Paciente
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Se debe escribir el nombre y apellido de quien recibe el medicamento
note	S	0..*	Annotation	Información sobre la receta
dosageInstruction	S	0..*	Dosage	Cómo se debe administrar el medicamento. Este lo completa automáticamente el SNRE al momento de generarse el MedicationRequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	1..1	integer	Secuencia de administración del medicamento
text	SΣ	0..1	string	Instrucción de dosificación
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	SΣ	0..1	string	Instrucciones para el paciente
timing	SΣ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	Administración del medicamento en temporalidad
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	SΣ	0..1	positiveInt	Cantidad de repeticiones
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Período en el cual se realizan las repeticiones
periodMax	SΣ	0..1	decimal	Periodo máximo en el cual se realizan las repeticiones
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unidad de tiempo (UCUM) Binding: UnitsOfTime (required)
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Se define para uso de fármaco sin receta o indicación en esta.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	Como se debe administrar el medicamento (Vía de administración o como debe el farmaco entrar al cuerpo) Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Namespace de SNOMED-CT
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Código de la vía por medio de subset de SNOMED-CT Binding: Vías de Administración (extensible)
display	SΣ	0..1	string	Descripción del código
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	SΣ	0..1	CodeableConcept	Forma exacta en la que el fármaco ingresa al organismo Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Namespace de los códigos desde SNOMED-CT.
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Códigos del Set de Valores definidos desde SNOMED-CT Binding: Métodos de Administración (extensible)
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
doseAndRate	SΣ	0..*	Element	Definición de la cantidad de fármaco a consumir por uso indicado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣ	0..1		Definición de Cantidad Simple o Rango Slice: Unordered, Closed by type:$this
doseRange			Range S(RangeCL)
doseQuantity			Quantity S(SimpleQuantityCL)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	A fixed quantity (no comparator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
dose[x]:doseRange	SΣ	0..1	Range	Amount of medication per dose
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity	Low limit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity	High limit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue	S	0..*	Reference(DetectedIssue)	Evento adverso detectado como contraindicación al fármaco dispensado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al evento adverso detectado.
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Texto libre que describe el potencial evento adverso o contraindicación
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.identifier.use	required	IdentifierUse
MedicationDispense.identifier.type	extensible	Identifier Type Codes
MedicationDispense.identifier.assigner.type	extensible	ResourceType
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code	extensible	VSRazonEstadoDispensacion (a valid code from Razón del cambio de estado (Dispensación))
MedicationDispense.category	preferred	MedicationDispense Category Codes
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationReference.type	extensible	ResourceType
MedicationDispense.subject.type	extensible	ResourceType
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Dispensador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Dispensador.actor.type	extensible	ResourceType
MedicationDispense.performer:Validador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Validador.actor.type	extensible	ResourceType
MedicationDispense.location.type	extensible	ResourceType
MedicationDispense.authorizingPrescription.type	extensible	ResourceType
MedicationDispense.type	example	ActPharmacySupplyType
MedicationDispense.receiver.type	extensible	ResourceType
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions
MedicationDispense.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek
MedicationDispense.dosageInstruction.timing.repeat.when	required	EventTiming
MedicationDispense.dosageInstruction.timing.code	preferred	TimingAbbreviation
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.route.coding.code	extensible	VSViasAdmin (a valid code from Vías de Administración)
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.method.coding.code	extensible	VSMetodos (a valid code from Métodos de Administración)
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason
MedicationDispense.detectedIssue.type	extensible	ResourceType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationDispense

Summary

Mandatory: 8 elements (4 nested mandatory elements)
Must-Support: 89 elements

Structures

This structure refers to these other structures:

• Rango para dispensación de medicamentos (https://interoperabilidad.minsal.cl/fhir/ig/snre/StructureDefinition/RangeCL)
• SimpleQuantity para el caso de Receta (https://interoperabilidad.minsal.cl/fhir/ig/snre/StructureDefinition/SimpleQuantityCL)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element MedicationDispense.statusReason[x] is sliced based on the value of type:$this
• The element MedicationDispense.medication[x] is sliced based on the value of type:$this
• The element MedicationDispense.performer is sliced based on the value of value:function.coding.code (Closed)
• The element MedicationDispense.dosageInstruction.asNeeded[x] is sliced based on the value of type:$this
• The element MedicationDispense.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MedicationDispense

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense		0..*	MedicationDispense	Dispensing a medication to a named patient
identifier	S	0..1	Identifier	Se usará en caso que se realice una dispensación con Id Local
system	S	0..1	uri	Namespace de id de local
value	S	0..1	string	Número identificador
assigner	S	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier	S	0..1	Identifier	El identificador de la Farmacia que ha dado el código identificador a la receta
display		0..1	string	Nombre de la organización a la cual se hace la referencia
status	S	1..1	code	Estado de la dispensación según estándar: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Slices for statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Slice: Unordered, Open by type:$this
statusReason[x]:statusReasonCodeableConcept	S	0..1	CodeableConcept	Razón por la cual se ha modificado el estado de la dispensación
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Glosa del código
code	S	0..1	code	Código referente a la razón de porque se modificó la dispensación Binding: Razón del cambio de estado (Dispensación) (extensible)
display	S	0..1	string	Glosa del código
text	S	0..1	string	Razón de la modificación
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What medication was supplied Slice: Unordered, Open by type:$this
medication[x]:medicationReference	S	0..1	Reference(Medication)	Medicamento comercial dispensado. Como repositorio nacional: "https://api-receta.minsal.cl/v2/Medication" (Obligatorio)
reference	S	0..1	string	URL de la referencia al medicamento dispensado
display	S	0..1	string	Nombre del medicamento dispensado según TFC
subject	S	1..1	Reference(Patient)	Referencia al Paciente "https://api-receta.minsal.cl/v2/Patient"
reference	S	0..1	string	URL de la referencia del recurso del paciente
display	S	0..1	string	Nombre del Paciente
Slices for performer	S	1..2	BackboneElement	Profesional, técnico o auxiliar que ejecutó alguna acción sobre la dispensación. Slice: Unordered, Closed by value:function.coding.code
performer:Dispensador	S	1..1	BackboneElement	Aquel individuo que realiza la entrega de medicamentos
function	S	1..1	CodeableConcept	Función que desarrolla el Performer, en este caso dispensador
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	1..1	code	Código del tipo de dispensador. El valor obligado es "Dispensador" Required Pattern: Dispensador
actor	S	1..1	Reference(Practitioner)	Identificación del individuo que realiza la dispensación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	S	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	S	0..1	string	Nombre del individuo que ejecuta la dispensación de la receta
performer:Validador	S	0..1	BackboneElement	Aquel profesional que realiza la validación previa a la entrega de medicamentos
function	S	1..1	CodeableConcept	Función que desarrolla el Validador, en este caso siempre será un Químico Farmacéutico
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	1..1	code	Código de validador. Debe ser **Validador**. Para definir un Validador Required Pattern: Validador
actor	S	1..1	Reference(Practitioner)	Profesional que realiza la validación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	S	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	S	0..1	string	Nombre de quien valida la receta antes de la entrega.
location	S	1..1	Reference(Location)	Ubicación Georreferenciada de la dispensación
reference	S	0..1	string	Identificación del recurso de localización de los dispensadores. "https://api-receta.minsal.cl/v2/Location" (Obligatoria)
display	S	0..1	string	Descripción de la ubicación o localización donde se realiza la dispensación
authorizingPrescription	S	1..1	Reference(MedicationRequest)	Referencia a la prescripción que autoriza la dispensación.
reference	S	0..1	string	Referencia a la prescripción que autoriza la dispensación. "https://api-receta.minsal.cl/v2/MedicationRequest" (Obligada)
display	S	0..1	string	Id de la referencia a la prescripción
quantity	S	1..1	SimpleQuantity	Dosis recetada del medicamento
whenHandedOver	S	1..1	dateTime	Fecha y hora cuando el medicamento fue dispensado. Se debe especificar en formato de fecha según HL7. YYYY-MM-DDThh:mm:ss+zz:zz, ej. 2018, 1973-06, 1905-08-23, 2015-02-07T13:28:17-05:00 or 2017-01-01T00:00:00.000Z.
receiver	S	0..1	Reference(Patient)	Persona a la cual se le hace entrega de los fármacos.
reference	S	0..1	string	Se debe agregar la URL del recurso Paciente
display	S	0..1	string	Se debe escribir el nombre y apellido de quien recibe el medicamento
note	S	0..*	Annotation	Información sobre la receta
dosageInstruction	S	0..*	Dosage	Cómo se debe administrar el medicamento. Este lo completa automáticamente el SNRE al momento de generarse el MedicationRequest
sequence	S	1..1	integer	Secuencia de administración del medicamento
text	S	0..1	string	Instrucción de dosificación
patientInstruction	S	0..1	string	Instrucciones para el paciente
timing	S	0..1	Timing	When medication should be administered
repeat	S	0..1	Element	Administración del medicamento en temporalidad
frequency	S	0..1	positiveInt	Cantidad de repeticiones
period	S	0..1	decimal	Período en el cual se realizan las repeticiones
periodMax	S	0..1	decimal	Periodo máximo en el cual se realizan las repeticiones
periodUnit	S	0..1	code	s | min | h | d | wk | mo | a - unidad de tiempo (UCUM) Binding: UnitsOfTime (required)
Slices for asNeeded[x]		0..1	boolean, CodeableConcept	Take "as needed" (for x) Slice: Unordered, Open by type:$this
asNeeded[x]:asNeededBoolean	S	0..1	boolean	Se define para uso de fármaco sin receta o indicación en esta.
route	S	0..1	CodeableConcept	Como se debe administrar el medicamento (Vía de administración o como debe el farmaco entrar al cuerpo)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Namespace de SNOMED-CT
code	S	0..1	code	Código de la vía por medio de subset de SNOMED-CT Binding: Vías de Administración (extensible)
display	S	0..1	string	Descripción del código
method	S	0..1	CodeableConcept	Forma exacta en la que el fármaco ingresa al organismo
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Namespace de los códigos desde SNOMED-CT.
code	S	0..1	code	Códigos del Set de Valores definidos desde SNOMED-CT Binding: Métodos de Administración (extensible)
display	S	0..1	string	Representation defined by the system
doseAndRate	S	0..*	Element	Definición de la cantidad de fármaco a consumir por uso indicado
Slices for dose[x]	S	0..1		Definición de Cantidad Simple o Rango Slice: Unordered, Open by type:$this
doseRange			Range S(RangeCL)
doseQuantity			Quantity S(SimpleQuantityCL)
dose[x]:doseQuantity	S	0..1	SimpleQuantity	A fixed quantity (no comparator)
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
dose[x]:doseRange	S	0..1	Range	Amount of medication per dose
low	S	0..1	SimpleQuantity	Low limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity	High limit
value	S	0..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
detectedIssue	S	0..*	Reference(DetectedIssue)	Evento adverso detectado como contraindicación al fármaco dispensado
reference	S	0..1	string	Referencia al evento adverso detectado.
display	S	0..1	string	Texto libre que describe el potencial evento adverso o contraindicación
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code	extensible	VSRazonEstadoDispensacion (a valid code from Razón del cambio de estado (Dispensación))
MedicationDispense.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.route.coding.code	extensible	VSViasAdmin (a valid code from Vías de Administración)
MedicationDispense.dosageInstruction.method.coding.code	extensible	VSMetodos (a valid code from Métodos de Administración)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..1	Identifier	Se usará en caso que se realice una dispensación con Id Local
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	Namespace de id de local Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Número identificador Example General: 123456
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier	SΣ	0..1	Identifier	El identificador de la Farmacia que ha dado el código identificador a la receta
display	Σ	0..1	string	Nombre de la organización a la cual se hace la referencia
status	?!SΣ	1..1	code	Estado de la dispensación según estándar: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x]		0..1		Why a dispense was not performed Slice: Unordered, Open by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
statusReason[x]:statusReasonCodeableConcept	S	0..1	CodeableConcept	Razón por la cual se ha modificado el estado de la dispensación Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Glosa del código
code	SΣ	0..1	code	Código referente a la razón de porque se modificó la dispensación Binding: Razón del cambio de estado (Dispensación) (extensible)
display	SΣ	0..1	string	Glosa del código
text	SΣ	0..1	string	Razón de la modificación
Slices for medication[x]	Σ	1..1		What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Medicamento comercial dispensado. Como repositorio nacional: "https://api-receta.minsal.cl/v2/Medication" (Obligatorio)
reference	SΣC	0..1	string	URL de la referencia al medicamento dispensado
display	SΣ	0..1	string	Nombre del medicamento dispensado según TFC
subject	SΣ	1..1	Reference(Patient)	Referencia al Paciente "https://api-receta.minsal.cl/v2/Patient"
reference	SΣC	0..1	string	URL de la referencia del recurso del paciente
display	SΣ	0..1	string	Nombre del Paciente
Slices for performer	S	1..2	BackboneElement	Profesional, técnico o auxiliar que ejecutó alguna acción sobre la dispensación. Slice: Unordered, Closed by value:function.coding.code
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
performer:Dispensador	S	1..1	BackboneElement	Aquel individuo que realiza la entrega de medicamentos
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Performer, en este caso dispensador Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Código del tipo de dispensador. El valor obligado es "Dispensador" Required Pattern: Dispensador
actor	S	1..1	Reference(Practitioner)	Identificación del individuo que realiza la dispensación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	SΣ	0..1	string	Nombre del individuo que ejecuta la dispensación de la receta
performer:Validador	S	0..1	BackboneElement	Aquel profesional que realiza la validación previa a la entrega de medicamentos
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Validador, en este caso siempre será un Químico Farmacéutico Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Código de validador. Debe ser **Validador**. Para definir un Validador Required Pattern: Validador
actor	S	1..1	Reference(Practitioner)	Profesional que realiza la validación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
display	SΣ	0..1	string	Nombre de quien valida la receta antes de la entrega.
location	S	1..1	Reference(Location)	Ubicación Georreferenciada de la dispensación
reference	SΣC	0..1	string	Identificación del recurso de localización de los dispensadores. "https://api-receta.minsal.cl/v2/Location" (Obligatoria)
display	SΣ	0..1	string	Descripción de la ubicación o localización donde se realiza la dispensación
authorizingPrescription	S	1..1	Reference(MedicationRequest)	Referencia a la prescripción que autoriza la dispensación.
reference	SΣC	0..1	string	Referencia a la prescripción que autoriza la dispensación. "https://api-receta.minsal.cl/v2/MedicationRequest" (Obligada)
display	SΣ	0..1	string	Id de la referencia a la prescripción
quantity	S	1..1	SimpleQuantity	Dosis recetada del medicamento
whenHandedOver	S	1..1	dateTime	Fecha y hora cuando el medicamento fue dispensado. Se debe especificar en formato de fecha según HL7. YYYY-MM-DDThh:mm:ss+zz:zz, ej. 2018, 1973-06, 1905-08-23, 2015-02-07T13:28:17-05:00 or 2017-01-01T00:00:00.000Z.
receiver	S	0..1	Reference(Patient)	Persona a la cual se le hace entrega de los fármacos.
reference	SΣC	0..1	string	Se debe agregar la URL del recurso Paciente
display	SΣ	0..1	string	Se debe escribir el nombre y apellido de quien recibe el medicamento
note	S	0..*	Annotation	Información sobre la receta
dosageInstruction	S	0..*	Dosage	Cómo se debe administrar el medicamento. Este lo completa automáticamente el SNRE al momento de generarse el MedicationRequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	1..1	integer	Secuencia de administración del medicamento
text	SΣ	0..1	string	Instrucción de dosificación
patientInstruction	SΣ	0..1	string	Instrucciones para el paciente
timing	SΣ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	SΣC	0..1	Element	Administración del medicamento en temporalidad
frequency	SΣ	0..1	positiveInt	Cantidad de repeticiones
period	SΣ	0..1	decimal	Período en el cual se realizan las repeticiones
periodMax	SΣ	0..1	decimal	Periodo máximo en el cual se realizan las repeticiones
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unidad de tiempo (UCUM) Binding: UnitsOfTime (required)
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Se define para uso de fármaco sin receta o indicación en esta.
route	SΣ	0..1	CodeableConcept	Como se debe administrar el medicamento (Vía de administración o como debe el farmaco entrar al cuerpo) Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Namespace de SNOMED-CT
code	SΣ	0..1	code	Código de la vía por medio de subset de SNOMED-CT Binding: Vías de Administración (extensible)
display	SΣ	0..1	string	Descripción del código
method	SΣ	0..1	CodeableConcept	Forma exacta en la que el fármaco ingresa al organismo Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Namespace de los códigos desde SNOMED-CT.
code	SΣ	0..1	code	Códigos del Set de Valores definidos desde SNOMED-CT Binding: Métodos de Administración (extensible)
display	SΣ	0..1	string	Representation defined by the system
doseAndRate	SΣ	0..*	Element	Definición de la cantidad de fármaco a consumir por uso indicado
Slices for dose[x]	SΣ	0..1		Definición de Cantidad Simple o Rango Slice: Unordered, Closed by type:$this
doseRange			Range(RangeCL)
doseQuantity			Quantity(SimpleQuantityCL)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	A fixed quantity (no comparator)
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
dose[x]:doseRange	SΣ	0..1	Range	Amount of medication per dose
low	SΣ	0..1	SimpleQuantity	Low limit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity	High limit
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
detectedIssue	S	0..*	Reference(DetectedIssue)	Evento adverso detectado como contraindicación al fármaco dispensado
reference	SΣC	0..1	string	Referencia al evento adverso detectado.
display	SΣ	0..1	string	Texto libre que describe el potencial evento adverso o contraindicación
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.identifier.use	required	IdentifierUse
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code	extensible	VSRazonEstadoDispensacion (a valid code from Razón del cambio de estado (Dispensación))
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.performer:Dispensador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Validador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.route.coding.code	extensible	VSViasAdmin (a valid code from Vías de Administración)
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.method.coding.code	extensible	VSMetodos (a valid code from Métodos de Administración)

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..1	Identifier	Se usará en caso que se realice una dispensación con Id Local
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	Namespace de id de local Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Número identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	El identificador de la Farmacia que ha dado el código identificador a la receta
display	Σ	0..1	string	Nombre de la organización a la cual se hace la referencia
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣ	1..1	code	Estado de la dispensación según estándar: preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event.
Slices for statusReason[x]		0..1		Why a dispense was not performed Slice: Unordered, Open by type:$this Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
statusReason[x]:statusReasonCodeableConcept	S	0..1	CodeableConcept	Razón por la cual se ha modificado el estado de la dispensación Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Glosa del código
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Código referente a la razón de porque se modificó la dispensación Binding: Razón del cambio de estado (Dispensación) (extensible)
display	SΣ	0..1	string	Glosa del código
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Razón de la modificación
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	Σ	1..1		What medication was supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying which substance or product can be dispensed.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	Medicamento comercial dispensado. Como repositorio nacional: "https://api-receta.minsal.cl/v2/Medication" (Obligatorio)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	URL de la referencia al medicamento dispensado
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del medicamento dispensado según TFC
subject	SΣ	1..1	Reference(Patient)	Referencia al Paciente "https://api-receta.minsal.cl/v2/Patient"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	URL de la referencia del recurso del paciente
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del Paciente
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
Slices for performer	S	1..2	BackboneElement	Profesional, técnico o auxiliar que ejecutó alguna acción sobre la dispensación. Slice: Unordered, Closed by value:function.coding.code
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was performing
performer:Dispensador	S	1..1	BackboneElement	Aquel individuo que realiza la entrega de medicamentos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Performer, en este caso dispensador Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del tipo de dispensador. El valor obligado es "Dispensador" Required Pattern: Dispensador
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	S	1..1	Reference(Practitioner)	Identificación del individuo que realiza la dispensación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del individuo que ejecuta la dispensación de la receta
performer:Validador	S	0..1	BackboneElement	Aquel profesional que realiza la validación previa a la entrega de medicamentos
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..1	CodeableConcept	Función que desarrolla el Validador, en este caso siempre será un Químico Farmacéutico Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código de validador. Debe ser **Validador**. Para definir un Validador Required Pattern: Validador
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	S	1..1	Reference(Practitioner)	Profesional que realiza la validación. El EndPoint es "https://api-receta.minsal.cl/v2/Practitioner"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	La referencia del recurso especificado debe ser al EndPoint "https://api-receta.minsal.cl/v2/Practitioner"
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre de quien valida la receta antes de la entrega.
location	S	1..1	Reference(Location)	Ubicación Georreferenciada de la dispensación
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Identificación del recurso de localización de los dispensadores. "https://api-receta.minsal.cl/v2/Location" (Obligatoria)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Descripción de la ubicación o localización donde se realiza la dispensación
authorizingPrescription	S	1..1	Reference(MedicationRequest)	Referencia a la prescripción que autoriza la dispensación.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia a la prescripción que autoriza la dispensación. "https://api-receta.minsal.cl/v2/MedicationRequest" (Obligada)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Id de la referencia a la prescripción
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	S	1..1	SimpleQuantity	Dosis recetada del medicamento
daysSupply		0..1	SimpleQuantity	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	1..1	dateTime	Fecha y hora cuando el medicamento fue dispensado. Se debe especificar en formato de fecha según HL7. YYYY-MM-DDThh:mm:ss+zz:zz, ej. 2018, 1973-06, 1905-08-23, 2015-02-07T13:28:17-05:00 or 2017-01-01T00:00:00.000Z.
destination		0..1	Reference(Location)	Where the medication was sent
receiver	S	0..1	Reference(Patient)	Persona a la cual se le hace entrega de los fármacos.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Se debe agregar la URL del recurso Paciente
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Se debe escribir el nombre y apellido de quien recibe el medicamento
note	S	0..*	Annotation	Información sobre la receta
dosageInstruction	S	0..*	Dosage	Cómo se debe administrar el medicamento. Este lo completa automáticamente el SNRE al momento de generarse el MedicationRequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	1..1	integer	Secuencia de administración del medicamento
text	SΣ	0..1	string	Instrucción de dosificación
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	SΣ	0..1	string	Instrucciones para el paciente
timing	SΣ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	Administración del medicamento en temporalidad
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	SΣ	0..1	positiveInt	Cantidad de repeticiones
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Período en el cual se realizan las repeticiones
periodMax	SΣ	0..1	decimal	Periodo máximo en el cual se realizan las repeticiones
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unidad de tiempo (UCUM) Binding: UnitsOfTime (required)
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣ	0..1	boolean	Se define para uso de fármaco sin receta o indicación en esta.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	Como se debe administrar el medicamento (Vía de administración o como debe el farmaco entrar al cuerpo) Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Namespace de SNOMED-CT
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Código de la vía por medio de subset de SNOMED-CT Binding: Vías de Administración (extensible)
display	SΣ	0..1	string	Descripción del código
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	SΣ	0..1	CodeableConcept	Forma exacta en la que el fármaco ingresa al organismo Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Namespace de los códigos desde SNOMED-CT.
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Códigos del Set de Valores definidos desde SNOMED-CT Binding: Métodos de Administración (extensible)
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
doseAndRate	SΣ	0..*	Element	Definición de la cantidad de fármaco a consumir por uso indicado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣ	0..1		Definición de Cantidad Simple o Rango Slice: Unordered, Closed by type:$this
doseRange			Range S(RangeCL)
doseQuantity			Quantity S(SimpleQuantityCL)
dose[x]:doseQuantity	SC	0..1	SimpleQuantity	A fixed quantity (no comparator)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
dose[x]:doseRange	SΣ	0..1	Range	Amount of medication per dose
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity	Low limit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
high	SΣ	0..1	SimpleQuantity	High limit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
substitution		0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue	S	0..*	Reference(DetectedIssue)	Evento adverso detectado como contraindicación al fármaco dispensado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al evento adverso detectado.
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Texto libre que describe el potencial evento adverso o contraindicación
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationDispense.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationDispense.identifier.use	required	IdentifierUse
MedicationDispense.identifier.type	extensible	Identifier Type Codes
MedicationDispense.identifier.assigner.type	extensible	ResourceType
MedicationDispense.status	required	MedicationDispense Status Codes
MedicationDispense.statusReason[x]	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept	example	MedicationDispense Status Reason Codes
MedicationDispense.statusReason[x]:statusReasonCodeableConcept.coding.code	extensible	VSRazonEstadoDispensacion (a valid code from Razón del cambio de estado (Dispensación))
MedicationDispense.category	preferred	MedicationDispense Category Codes
MedicationDispense.medication[x]	example	SNOMEDCTMedicationCodes
MedicationDispense.medication[x]:medicationReference.type	extensible	ResourceType
MedicationDispense.subject.type	extensible	ResourceType
MedicationDispense.performer.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Dispensador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Dispensador.actor.type	extensible	ResourceType
MedicationDispense.performer:Validador.function	example	MedicationDispense Performer Function Codes
MedicationDispense.performer:Validador.actor.type	extensible	ResourceType
MedicationDispense.location.type	extensible	ResourceType
MedicationDispense.authorizingPrescription.type	extensible	ResourceType
MedicationDispense.type	example	ActPharmacySupplyType
MedicationDispense.receiver.type	extensible	ResourceType
MedicationDispense.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions
MedicationDispense.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime
MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek
MedicationDispense.dosageInstruction.timing.repeat.when	required	EventTiming
MedicationDispense.dosageInstruction.timing.code	preferred	TimingAbbreviation
MedicationDispense.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationDispense.dosageInstruction.route	example	SNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.route.coding.code	extensible	VSViasAdmin (a valid code from Vías de Administración)
MedicationDispense.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.method.coding.code	extensible	VSMetodos (a valid code from Métodos de Administración)
MedicationDispense.dosageInstruction.doseAndRate.type	example	DoseAndRateType
MedicationDispense.substitution.type	example	ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reason	example	SubstanceAdminSubstitutionReason
MedicationDispense.detectedIssue.type	extensible	ResourceType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared : whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
qty-3	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationDispense

Summary

Mandatory: 8 elements (4 nested mandatory elements)
Must-Support: 89 elements

Structures

This structure refers to these other structures:

• Rango para dispensación de medicamentos (https://interoperabilidad.minsal.cl/fhir/ig/snre/StructureDefinition/RangeCL)
• SimpleQuantity para el caso de Receta (https://interoperabilidad.minsal.cl/fhir/ig/snre/StructureDefinition/SimpleQuantityCL)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element MedicationDispense.statusReason[x] is sliced based on the value of type:$this
• The element MedicationDispense.medication[x] is sliced based on the value of type:$this
• The element MedicationDispense.performer is sliced based on the value of value:function.coding.code (Closed)
• The element MedicationDispense.dosageInstruction.asNeeded[x] is sliced based on the value of type:$this
• The element MedicationDispense.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this